RIVO-Noord Zorgviewer Implementation Guide, published by RIVO-NN HL7NL. This guide is not an authorized publication; it is the continuous build for version 1.25.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/RIVO-Noord/zorgviewer-ig/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON

: CGM TreatmentDirective Example - JSON Representation

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{
  "resourceType" : "Consent",
  "id" : "b7e2c890-3d4f-4a1e-8c6b-2f9e1d7a5c83",
  "meta" : {
    "lastUpdated" : "2026-02-20T10:30:00.000+01:00",
    "profile" : [
      🔗 "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><caption>Consent. Patient: Dhr. P. Patient-4. Category: <span title=\"Behandelingsinstructies (artefact opnemen) (11291000146105 - SNOMED CT)\">Behandelingsinstructies (artefact opnemen)</span>, Status: active</caption><tbody><tr><th>Periode</th><td>Vanaf 20 februari 2026</td></tr><tr><th>Datum</th><td>20 februari 2026</td></tr><tr><th>Geverifieerd</th><td>ja - 20 februari 2026 - <span title=\"Gevolmachtigde (8601000146109 - SNOMED CT)\">Gevolmachtigde</span></td></tr><tr><th><span title=\"Kunstmatige beademing (40617009 - SNOMED CT)\">Kunstmatige beademing</span></th><td><span title=\"Behandeling niet toegestaan en/of wenselijk (NEE - 2.16.840.1.113883.2.4.3.11.60.40.4)\">Behandeling niet toegestaan en/of wenselijk</span></td></tr></tbody></table></div>"
  },
  "extension" : [
    {
      "extension" : [
        {
          "url" : "Verified",
          "valueBoolean" : true
        },
        {
          "url" : "VerifiedWith",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "8601000146109",
                "display" : "Gevolmachtigde"
              }
            ]
          }
        },
        {
          "url" : "VerificationDate",
          "valueDateTime" : "2026-02-20"
        }
      ],
      "url" : "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification"
    },
    {
      "url" : "http://nictiz.nl/fhir/StructureDefinition/Comment",
      "valueString" : "Patiënt wenst geen kunstmatige beademing."
    },
    {
      "url" : "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Treatment",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "40617009",
            "display" : "Kunstmatige beademing"
          }
        ]
      }
    }
  ],
  "modifierExtension" : [
    {
      "url" : "http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-TreatmentPermitted",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4",
            "code" : "NEE",
            "display" : "Behandeling niet toegestaan en/of wenselijk"
          }
        ]
      }
    }
  ],
  "identifier" : {
    "system" : "http://cgmhuisarts.cgm.nl/fhir/NamingSystem/consentID",
    "value" : "cgm-treatment-directive-001"
  },
  "status" : "active",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "11291000146105",
          "display" : "Behandelingsinstructies (artefact opnemen)"
        }
      ]
    }
  ],
  "patient" : {
    🔗 "reference" : "Patient/40bbb218-2bcf-4851-a104-dfb910408587",
    "display" : "Dhr. P. Patient-4"
  },
  "period" : {
    "start" : "2026-02-20"
  },
  "dateTime" : "2026-02-20T10:30:00+01:00",
  "policy" : [
    {
      "uri" : "http://wetten.overheid.nl/"
    }
  ]
}